MEDICARE: SARAH BELL SOCIAL WORKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1487075867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BELL SOCIAL WORKER

Provider Business Mailing Address
First Line	:	2632 S ROCHESTER RD UNIT 70948
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-7942
Country	:	US
Telephone Number	:	313-587-2963
Fax Number	:	248-928-7047

Provider Business Practice Location Address
First Line	:	2632 S ROCHESTER RD UNIT 70948
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-7942
Country	:	US
Telephone Number	:	313-587-2963
Fax Number	:	248-928-7047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2014
Last Update Date	:	01/02/2014

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